Provider Demographics
NPI:1821707472
Name:ROSE'S PHARMACY PLUS LLC
Entity Type:Organization
Organization Name:ROSE'S PHARMACY PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HONG
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-342-4411
Mailing Address - Street 1:1810 BARATARIA BLVD
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-4204
Mailing Address - Country:US
Mailing Address - Phone:504-342-4411
Mailing Address - Fax:504-342-4404
Practice Address - Street 1:1810 BARATARIA BLVD
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-4204
Practice Address - Country:US
Practice Address - Phone:504-342-4411
Practice Address - Fax:504-342-4404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy